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Airway Complications from an Esophageal Foreign Body

Identifieur interne : 000902 ( Pmc/Checkpoint ); précédent : 000901; suivant : 000903

Airway Complications from an Esophageal Foreign Body

Auteurs : Ismael Garcia [Mexique] ; Joseph Varon [États-Unis] ; Salim Surani [États-Unis]

Source :

RBID : PMC:5183758

Abstract

Introduction. Foreign body impaction (FBI) in the esophagus can be a serious condition, which can have a high mortality among children and adults, if appropriate diagnosis and treatment are not instituted urgently. 80–90% of all foreign bodies trapped in the esophagus usually pass spontaneously through the digestive tract, without any medical or surgical intervention. 10–20% of them will need an endoscopic intervention. Case Report. We hereby present a case of a large chicken piece foreign body impaction in the esophagus in a 25-year-old male with mental retardation. Patient developed hypoxemic respiratory failure requiring intubation. The removal required endoscopic intervention. Conclusions. Foreign bodies trapped in the upper gastrointestinal tract are a serious condition that can be fatal if they are not managed correctly. A correct diagnosis and treatment decrease the chances of complications. Endoscopic treatment remains the gold standard for extracting foreign body impaction.


Url:
DOI: 10.1155/2016/3403952
PubMed: 28058124
PubMed Central: 5183758


Affiliations:


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PMC:5183758

Le document en format XML

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<italic>Introduction</italic>
. Foreign body impaction (FBI) in the esophagus can be a serious condition, which can have a high mortality among children and adults, if appropriate diagnosis and treatment are not instituted urgently. 80–90% of all foreign bodies trapped in the esophagus usually pass spontaneously through the digestive tract, without any medical or surgical intervention. 10–20% of them will need an endoscopic intervention.
<italic> Case Report</italic>
. We hereby present a case of a large chicken piece foreign body impaction in the esophagus in a 25-year-old male with mental retardation. Patient developed hypoxemic respiratory failure requiring intubation. The removal required endoscopic intervention.
<italic> Conclusions</italic>
. Foreign bodies trapped in the upper gastrointestinal tract are a serious condition that can be fatal if they are not managed correctly. A correct diagnosis and treatment decrease the chances of complications. Endoscopic treatment remains the gold standard for extracting foreign body impaction.</p>
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<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Case Rep Pulmonol</journal-id>
<journal-id journal-id-type="iso-abbrev">Case Rep Pulmonol</journal-id>
<journal-id journal-id-type="publisher-id">CRIPU</journal-id>
<journal-title-group>
<journal-title>Case Reports in Pulmonology</journal-title>
</journal-title-group>
<issn pub-type="ppub">2090-6846</issn>
<issn pub-type="epub">2090-6854</issn>
<publisher>
<publisher-name>Hindawi Publishing Corporation</publisher-name>
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<article-id pub-id-type="pmid">28058124</article-id>
<article-id pub-id-type="pmc">5183758</article-id>
<article-id pub-id-type="doi">10.1155/2016/3403952</article-id>
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<subject>Case Report</subject>
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<title-group>
<article-title>Airway Complications from an Esophageal Foreign Body</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Garcia</surname>
<given-names>Ismael</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-7622-9974</contrib-id>
<name>
<surname>Varon</surname>
<given-names>Joseph</given-names>
</name>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="I3">
<sup>3</sup>
</xref>
<xref ref-type="aff" rid="I4">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-7105-4266</contrib-id>
<name>
<surname>Surani</surname>
<given-names>Salim</given-names>
</name>
<xref ref-type="aff" rid="I5">
<sup>5</sup>
</xref>
<xref ref-type="corresp" rid="cor1">
<sup>*</sup>
</xref>
</contrib>
</contrib-group>
<aff id="I1">
<sup>1</sup>
Facultad de Medicina Tampico, Universidad Autónoma de Tamaulipas, Tampico, TAMPS, Mexico</aff>
<aff id="I2">
<sup>2</sup>
Dorrington Medical Associates, Houston, TX, USA</aff>
<aff id="I3">
<sup>3</sup>
Foundation Surgical Hospital, Houston, TX, USA</aff>
<aff id="I4">
<sup>4</sup>
The University of Texas Health Science Center at Houston, Houston, TX 77030, USA</aff>
<aff id="I5">
<sup>5</sup>
Texas A&M University, Corpus Christi, TX 78413, USA</aff>
<author-notes>
<corresp id="cor1">*Salim Surani:
<email>srsurani@hotmail.com</email>
</corresp>
<fn fn-type="other">
<p>Academic Editor: Fabio Midulla</p>
</fn>
</author-notes>
<pub-date pub-type="ppub">
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>12</day>
<month>12</month>
<year>2016</year>
</pub-date>
<volume>2016</volume>
<elocation-id>3403952</elocation-id>
<history>
<date date-type="received">
<day>3</day>
<month>8</month>
<year>2016</year>
</date>
<date date-type="rev-recd">
<day>20</day>
<month>9</month>
<year>2016</year>
</date>
<date date-type="accepted">
<day>6</day>
<month>11</month>
<year>2016</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2016 Ismael Garcia et al.</copyright-statement>
<copyright-year>2016</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/4.0/">
<license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<p>
<italic>Introduction</italic>
. Foreign body impaction (FBI) in the esophagus can be a serious condition, which can have a high mortality among children and adults, if appropriate diagnosis and treatment are not instituted urgently. 80–90% of all foreign bodies trapped in the esophagus usually pass spontaneously through the digestive tract, without any medical or surgical intervention. 10–20% of them will need an endoscopic intervention.
<italic> Case Report</italic>
. We hereby present a case of a large chicken piece foreign body impaction in the esophagus in a 25-year-old male with mental retardation. Patient developed hypoxemic respiratory failure requiring intubation. The removal required endoscopic intervention.
<italic> Conclusions</italic>
. Foreign bodies trapped in the upper gastrointestinal tract are a serious condition that can be fatal if they are not managed correctly. A correct diagnosis and treatment decrease the chances of complications. Endoscopic treatment remains the gold standard for extracting foreign body impaction.</p>
</abstract>
</article-meta>
</front>
<floats-group>
<fig id="fig1" orientation="portrait" position="float">
<label>Figure 1</label>
<caption>
<p>Computerized tomography of chest demonstrating foreign body impaction versus mass in esophagus.</p>
</caption>
<graphic xlink:href="CRIPU2016-3403952.001"></graphic>
</fig>
<table-wrap id="tab1" orientation="portrait" position="float">
<label>Table 1</label>
<caption>
<p>Clinical manifestation of foreign body impaction.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" rowspan="1" colspan="1">System</th>
<th align="left" rowspan="1" colspan="1">Symptoms</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" rowspan="1" colspan="1">Gastrointestinal</td>
<td align="left" rowspan="1" colspan="1">(i) Abdominal pain 
<break></break>
(ii) Dysphagia 
<break></break>
(iii) Halitosis 
<break></break>
(iv) Hematemesis 
<break></break>
(v) Nausea 
<break></break>
(vi) Odynophagia 
<break></break>
(vii) Regurgitation 
<break></break>
(viii) Vomiting </td>
</tr>
<tr>
<td align="center" colspan="2" rowspan="1">
<hr></hr>
</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Respiratory</td>
<td align="left" rowspan="1" colspan="1">(i) Cough 
<break></break>
(ii) Drooling 
<break></break>
(iii) Dyspnea 
<break></break>
(iv) Stridor 
<break></break>
(v) Wheezing</td>
</tr>
</tbody>
</table>
</table-wrap>
</floats-group>
</pmc>
<affiliations>
<list>
<country>
<li>Mexique</li>
<li>États-Unis</li>
</country>
<region>
<li>Texas</li>
</region>
</list>
<tree>
<country name="Mexique">
<noRegion>
<name sortKey="Garcia, Ismael" sort="Garcia, Ismael" uniqKey="Garcia I" first="Ismael" last="Garcia">Ismael Garcia</name>
</noRegion>
</country>
<country name="États-Unis">
<region name="Texas">
<name sortKey="Varon, Joseph" sort="Varon, Joseph" uniqKey="Varon J" first="Joseph" last="Varon">Joseph Varon</name>
</region>
<name sortKey="Surani, Salim" sort="Surani, Salim" uniqKey="Surani S" first="Salim" last="Surani">Salim Surani</name>
<name sortKey="Varon, Joseph" sort="Varon, Joseph" uniqKey="Varon J" first="Joseph" last="Varon">Joseph Varon</name>
<name sortKey="Varon, Joseph" sort="Varon, Joseph" uniqKey="Varon J" first="Joseph" last="Varon">Joseph Varon</name>
</country>
</tree>
</affiliations>
</record>

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